Physician

Gerardo Soto, M.D.

According to 2025 Medicare claims, Gerardo Soto, M.D. (NPI: 1902197445) practices general practice in the Wildwood-The Villages, FL market, with the plurality of this provider's patient population coming from Sumter, FL. This provider's primary affiliated billing organization is LOWELL F. CLARK MD PA (NPI: 1629278882; TIN: 593688532) and primary practice location at 33513-6703. Soto is affiliated with the Pathways Accountable Care, LLC d/b/a Pathways Health Partners (ACO ID: D0048), participating under the REACH model.

Soto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 57 traditional Medicare patients, billed 630 HCPCS/CPT codes, and received $8,087 in Medicare payments. The top billing code was 80061 (Blood test, lipids (cholesterol and triglycerides)). Part D data shows 12,052 prescription claims across 575 beneficiaries totaling $1,246,505 in drug costs, led by Ozempic (Semaglutide). 2022 DME data shows 24 claims. Open Payments data shows 5 records totaling $89. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $22,760 to $8,087. In contrast, Part D prescription costs have moved sharply higher in recent years, from $2,365 to $1,246,505. For DME billing, reported payments moved sharply higher in recent years, from $1,530 to $20,101.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	203	792	$22,760
2019	132	861	$17,774
2020	116	922	$15,065
2021	85	898	$13,286
2022	65	528	$7,450
2023	63	679	$8,331
2024	57	630	$8,087

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	124	177	$2,365
2016	157	332	$5,989
2017	398	944	$43,948
2018	547	4,076	$300,456
2019	516	4,615	$354,283
2020	558	7,502	$592,612
2021	591	9,345	$920,131
2022	587	10,760	$1,102,243
2023	591	11,555	$1,186,464
2024	575	12,052	$1,246,505

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	11	$27
2019	N/R	35	$627
2020	N/R	121	$2,767
2021	N/R	111	$2,605
2022	N/R	24	$429
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
80061	Blood test, lipids (cholesterol and triglycerides)	34	54	$13
83036	Hemoglobin a1c level	34	57	$10
80048	Blood test, basic group of blood chemicals (calcium, total)	35	60	$8
80076	Liver function blood test panel	34	59	$8
81002	Urinalysis, manual test	35	52	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	111	3,430	$109,218
Eliquis	Apixaban	98	5,138	$98,857
Humira Pen	Adalimumab	12	336	$96,695
Jardiance	Empagliflozin	68	2,743	$53,560
Farxiga	Dapagliflozin Propanediol	46	2,870	$52,818

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$89	Novo Nordisk Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Gerardo Soto, M.D.?

Tedicare shows public-source Medicare data for Gerardo Soto, M.D. (NPI 1902197445), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Gerardo Soto, M.D. have ACO affiliation data?

Gerardo Soto, M.D. is shown with ACO affiliation data for Pathways Accountable Care, LLC d/b/a Pathways Health Partners (REACH, ACO ID D0048).

What billing organization is linked to Gerardo Soto, M.D.?

Gerardo Soto, M.D. is linked to LOWELL F. CLARK MD PA (billing NPI 1629278882) in the available physician profile data.

Does Gerardo Soto, M.D. have Open Payments data?

Gerardo Soto, M.D. has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.